NPI | 1437444270 |
---|---|
Former Name | COREY E RAY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103TS0200X Psychologist, School |
Enumeration Date | 2011-06-09 |
Last Update Date | 2022-09-15 |